NP Certification Q&A

Contraceptive Choices in Migraine


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Which of the following best describes the use of contraception for a 26 year old woman who has migraine without aura, usually three episodes per month controlled with high dose ibuprofen who is otherwise well states. "I want to get on some birth control that's really reliable for the next three years while I'm in graduate school."

A. All combined hormonal contraceptive forms are contraindicated with any type of migraine.

B. Combined hormonal contraception is acceptable for use in this clinical situation.

C. Progestin-only contraceptive methods should be avoided in migraine with or without aura due to the increased risk for elevated blood pressure.

D. Barrier contraceptive methods are preferred in this situation.

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YouTube: https://www.youtube.com/watch?v=PyCwq8NMkPw&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=142

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